Executive Diagnosis Service

NPI #1841501244 in Passaic, New Jersey

Provider Information

NPI Number
1841501244
Entity Type
Organization
Organization Name
Executive Diagnosis Service
Primary Specialty
Radiologic Technologist
Enumeration Date
Jun 30, 2010
Last Updated
Jun 30, 2010

Practice Location

Address
39 AYCRIGG AVENUE
ZIP Code
07055
Phone
(551) 587-1150

Authorized Official

Name
ANA VIRGINIA DELACRUZ
Title
OWNER
Phone
(551) 587-1150

Specialties & Taxonomy Codes

Specialty
Radiologic Technologist

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